| NPI | 1760503668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY FAGIANA Owner 865-256-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN st-046425) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |